Active NPI
Yvonne E. Grant, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Panorama City, CA
National Provider Identifier
1952470320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 10028
- Practice address
- 14500 Roscoe Blvd FL 4
Panorama City, CA 91402-4194 - Phone
- (818) 714-2066
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 38828 | CA | |
| Health Educator | 174H00000X | |||
| Geriatric Pharmacist | 1835G0303X | 10028 | CA | |
| Ambulatory Care Pharmacist | 1835P2201X | 38828 | CA | |
| Oncology Pharmacist | 1835X0200X | 38828 | CA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10028 | CA | Primary |
Addresses
Primary practice location
14500 Roscoe Blvd FL 4
Panorama City, CA 91402-4194
Mailing address
14421 Glorietta Dr
Sherman Oaks, CA 91423-4533
Phone (818) 625-6756
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21320587 | Other | CA | NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS |
| 200913353 | Other | CA | THE COMMISSION ON CERTIFICATION AMERICAN ASSOCIATION OF DIABETES EDUCATORS |
| 2269 | Other | CA | COMMISSION FOR CERTIFICATION IN GERIATRIC PHARMACY |
| 10028 | Other | CA | CALIFORNIA BOARD OF PHARMACY ADVANCED PRACTICE PHARMACIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10028 | CA | MD | Geriatric Pharmacist |
| 38828 | CA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Pre-Diabetes Center Inc | Health Educator | Current | Accepting new patients |
| International Pre-Diabetes Center Inc | Health Educator | Current | Accepting new patients |
Locations
14500 Roscoe Blvd
Fl 4
Panorama City, CA 91402
Phone (818) 714-2022
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Pre-Diabetes Professional Training Center
- Durable Medical Equipment & Medical Supplies
- Panorama City, CA
- NPI 1376080309
Health Educator
-
dba Pre-Diabetes Professional Training Center
- Health Educator
- Panorama City, CA
- NPI 1699636357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1952470320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14421 GLORIETTA DR",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914234533",
"telephone_number": "818-625-6756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14500 ROSCOE BLVD FL 4",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024194",
"telephone_number": "818-714-2066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "YVONNE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "38828",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "10028",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CA",
"license": "38828",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CA",
"license": "38828",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "10028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS",
"identifier": "21320587",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE COMMISSION ON CERTIFICATION AMERICAN ASSOCIATION OF DIABETES EDUCATORS",
"identifier": "200913353",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION FOR CERTIFICATION IN GERIATRIC PHARMACY",
"identifier": "2269",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF PHARMACY ADVANCED PRACTICE PHARMACIST",
"identifier": "10028",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.